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POST-TEST
(OBSTETRICS NURSING)
Prepared By: Prof. Kenneth Arzadon
MAY 2023 PHILIPPINE NURSE LICENSURE EXAMINATION

NAME:
c. Count the number of pregnancy that reached 20
1. A pregnant woman the nurse she doesn’t know whether weeks AOG and subsequently delivered dead or
she’s ready to have another baby, even though this was a alive
planned pregnancy. Which response should the nurse d. Multiple pregnancy is considered as one parity
offer?
a. “You may want to discuss these concerns with a 6. Suppose the primigravida woman had her last menstrual
social worker.” period for 4 days and the menstrual flow ended May 5,
b. “You’re feeling ambivalent, which is normal 2021. What would be her expected date of confinement?
during the first trimester.” a. February 5, 2022
c. “You need to share these feelings with your b. February 9, 2022
partner.” c. January 29, 2022
d. “You may want to consider having an abortion.” d. January 5, 2022

7. During the physical assessment on a pregnant woman on

2. A 9-week primigravida client asks you, “Is it possible for her late 20’s, the nurse notes the uterus is firm under the
me to listen to my baby’s fetal heart beat?” Which of the abdominal wall just in line with the umbilicus.
following responses by the nurse would be appropriate? Approximately what week of gestation is the client in:
a. “We can listen to your baby’s heart beat with a a. 20th week
Doppler but we still have to wait for additional 4 b. 22nd week
weeks.” c. 36th week
b. “Fetoscope is best used during the 16th week of d. 12th week
your pregnancy to listen to the baby’s heart
beat.” 8. A woman 19 weeks pregnant, has been admitted to the
c. “The heart beats 8 weeks before delivery so I emergency department following. Contractions are noted
don’t think you can listen to it now.” which lasted 35 seconds, and cervix dilated at 7cm. She
d. “Your obstetrician would probably use the has passed tissue fragments and no fetal heart was heard
Doppler to check for fetal heart tones, she may upon auscultation. Obstetrical history tells that he had a
let you listen to it.” previous cesarean section 3 years ago due to placenta
previa @ 38th week AOG giving birth to a small-for-
gestational age infant. Her first pregnancy successfully
3. A primigravida client, 24 y/o, 18 weeks AOG verbalized ended via normal spontaneous vaginal delivery @ 37
weeks giving birth to twins. What is her obstetrical score?
her concern, “Why is my baby not yet moving, my
neighbor who is also pregnant for the second time says a. G-3, T-2, P-1, A-0, L-2
she felt her baby move yesterday. We have the same b. G-3, T-2, P-0, A-1, L-2
c. G-2, T-2, P-1, A-0, L-2
AOG, I’m afraid there is something wrong with my baby!”
what would be your best response: d. G-3, T-3, P-0, A-1, L-3
a. “Quickening is usually felt by first-time mothers a
week before delivery.”
b. “Don’t worry everything is alright.” 9. Emergency nursing interventions for a 16-week pregnancy
c. “Normally for a primigravida client like you will woman who is suspected to have a miscarriage would
feel the first movement on the 20th week” include all but one of the following :
d. “You’re overreacting ma’am, that might harm the a. Withhold oral fluids
baby.” b. Save perineal pads and any tissue passed
c. Ensure adequate hydration by letting mother
drink plenty of fluids to prevent dehydration
4. During their rotation in the OB ward, a student nurse was d. Monitor uterine contractions and fetal heart rate
asked by her clinical instructor about the changes in a
woman’s body during pregnancy. The student nurse is 10. Early detection of an ectopic pregnancy is paramount in
aware that a common adaptation during pregnancy would preventing a life-threatening rupture. Which symptoms
be: should alert the nurse to the possibility of an ectopic
a. Hypoventilation pregnancy?
b. Increased pH of the vagina a. Unilateral lower abdominal tenderness and a
c. Decreased gastrointestinal motility positive pregnancy test
d. Decreased glomerular filtration rate b. Hyperemesis and weight loss
c. Amenorrhea and a negative pregnancy test
d. Copious discharge of clear mucous and prolonged
5. All but one are principles in identifying parity: epigastric pain
a. Stillbirth is counted
b. Count the number of fetus delivered before 20 11. The characteristic manifestation of gestation trophoblastic
weeks disease is:
a. Uterus tends to expand faster than a normal
pregnancy

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 b. Lower abdominal quadrant pain a. Slow contraction
c. Emesis Gravidarum b. Enhance fetal growth
d. An HCG level of 400,000 IU c. Prevent infection
d. Promote fetal lung maturity

12. Which of the following discharge instructions must be 19. The nurse would best position a pregnant woman with
given to a woman who has just undergone suction prolapsed umbillical cord to:
and curettage for gestational trophoblstic disease? a. Supine position with hips elevated on a pillow
a. “Visit your physician after one year for a follow- b. Exaggerated Sim’s Lateral Position
up examination to find out if there is still a c. Right Side lying position
possibility that get pregnant.” d. Prone position turned to the side
b. “Women who has had molar pregnancy must
avoid sexual intercourse for a year or two.” 20. During a contraction stress test, a decrease in the fetal
c. “HCG levels usually return to normal 48 hours heart rate occurs with the onset of contractions. The best
after evacuation.” nursing action would be to:
d. “Use a reliable contraceptive method for 12 a. Reposition the client
months.” b. Continue monitoring the client
c. Stop oxytocin administration
13. The insulin dosage during throughout pregnancy is: d. Notify the physician
a. Increased throughout the duration of pregnancy
b. Decreased during the second trimester an 21. A nurse is monitoring a client labor. The nurse
increase during the first and third trimester suspects umbilical cord compression if which of the
c. Increased during the first trimester and following is noted on the external monitor tracing
decreased on the second and third trimester during a contraction?
d. Decreased during the first trimester of pregnancy a. Late decelerations
and increased on the second and third trimester\ b. Early decelerations
c. Short-term variability
14. A primigravida is receiving magnesium sulfate for the d. Variable decelerations
treatment of pregnancy induced hypertension (PIH).
The nurse who is caring for the client is performing 22. A nurse in the labor room is caring for a client in the
assessments every 30 minutes. Which assessment active phases of labor. The nurse is assessing the fetal
finding would the nurse document as normal? patterns and notes a late deceleration on the monitor
I. Urinary output of 60ml/hour strip. The most appropriate nursing action is to:
II. Presence of Patellar reflex a. Place the mother in the supine position and
III. Respiratory rate of 16bpm administer magnesium sulfate
IV. Urinary output of 10 ml/hour b. Document the findings and continue to monitor
V. Respiratory rate of 9bpm the fetal patterns
VI. Patellar reflex is negative c. Stop oxytocin administration, reposition the
a. I, III, and VI woman, administer oxygen via face mask and
b. II, III, and IV notify the physician
c. I, III, and V d. Increase the rate of Pitocin IV infusion
d. I, II, and III
23. Glycosylated hemoglobin level is obtained to determine
compliance to treatment plan for GDM.A level of 6%
15. A 34 y/o client is 34 weeks pregnant and is indicates:
experiencing bleeding caused by placenta previa. The a. The client is a candidate for above the knee
fetal heart sounds are normal and the client isn’t in amputation to prevent further complications
labor. Which of the following interventions should the b. There is a risk for spontanoues abortion
nurse perform? c. Client’s education in blood sugar control is
a. Allow the client to ambulate with assistance adequate
b. Perform an internal examination to check for d. Client needs further instruction regarding the
cervical dilatation treatment plan for GDM.
c. Do perineal pad count
d. Notify the physician of FHT of 130 bpm 24. A nurse is assessing the fundus in a postpartum woman
and notes that the uterus is soft and spongy and not
16. A nurse is assigned to care for a client with hypotonic firmly contracted. The midwife prepares to implement
uterine dysfunction and signs of a slowing labor. The which of the following interventions EXCEPT:
midwife is reviewing the physician’s order and would A. Massaging the uterus
expect to note which of the following prescribed B. Assisting the woman to urinate
treatments for this condition? C. Checking for distended bladder
a. Increase hydration D. Administration of ritodrine hydrochloride
b. Oxytocin (Pitocin) infusion
c. Medication that will provide sedation
d. Administration of a tocolytic medication 25. A primigravid client is admitted to the labor and
delivery area. Assessment reveals fetal
17. The nurse is developing a plan of care for a client in malpresentation, yellow amniotic fluid, and a fetal
her 34th week of gestation who's experiencing heart rate (FHR) of 80 beats/minute. What should the
premature labor. What non-pharmacologic intervention nurse do?
should the plan include to halt premature labor? a. Increase the I.V. oxytocin flow rate, as ordered,
a. Encouraging ambulation to hasten labor and delivery.
b. Serving a nutritious diet b. Reassess the client for continued normal findings
c. Promoting adequate hydration in 15 minutes.
d. Performing nipple stimulation c. Help the client into the lithotomy position for
delivery.
18. A client at 28 weeks’ gestation is complaining of d. Notify the physician and surgical team of an
contractions. Following admission and hydration, emergency.
physician writes an order for the nurse to give 12 mg
of betamethasone I.M. The nurse should explain that
this medication is given to:

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